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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830313
Report Date: 12/17/2024
Date Signed: 12/17/2024 10:26:35 AM

Document Has Been Signed on 12/17/2024 10:26 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:VISTA VERDE STATE PRESCHOOLFACILITY NUMBER:
364830313
ADMINISTRATOR/
DIRECTOR:
JANE CHASEFACILITY TYPE:
850
ADDRESS:13403 VISTA VERDE STREETTELEPHONE:
(760) 662-5650
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 15DATE:
12/17/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Danielle SalazarTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On December 17, 2024, Licensing Program Analyst (LPA), Calloway conducted an unannounced case management inspection to the above facility. LPA met with a facility representative who granted access. LPA toured the facility with the representative and observed fifteen-day care children and three staff in care.

On March 27, 2024, an annual inspection was conducted at the facility above and there was a deficiency issued for the facility not reporting to the licensing department within ten days the new facility director or site supervisor. The deficiency has not been corrected.

Per Title 22, Division 12, Chapter 1, there is a repeat Type B deficiency cited during this inspection 101212(b) for Reporting Requirements. See 809D page.

Exit interview was conducted and a copy of this report was read, a Notice of Site Visit, and Appeal Rights were provided to Danielle Salazar, Representative at the facility. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Failure to maintain posting will result in a $100 civil penalty.

Claretta YatesTELEPHONE: (661) 202-3407
Kuliema CallowayTELEPHONE: (661) 202-3381
DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 12/17/2024 10:26 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551


FACILITY NAME: VISTA VERDE STATE PRESCHOOL

FACILITY NUMBER: 364830313

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/17/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
101212(b)- Reporting Requirements (b) the name of the child care center director, and any fully qualified teacher(s) designated to act in child care center director's absence, shall be reported to the Department within 10 days...This requirement has been met as evidenced by:
Deficient Practice Statement
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POC Due Date: 01/17/2025
Plan of Correction
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I will contact the District Office and have them to talk to the principal or person in charge of the preschool to see how it can be resolved.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Claretta YatesTELEPHONE: (661) 202-3407
Kuliema CallowayTELEPHONE: (661) 202-3381

DATE: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/17/2024

LIC809 (FAS) - (06/04)
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